San Francisco Dentist

Post op instructionsSan Francisco, CA

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Crown and BridgeCEREC


Home Care Following Crown and/or Bridge Work

We make every effort to ensure that you have comfortable office visits. The medication, materials and methods we use are of the highest quality and utilize the most advanced technology. The restorations we place will last at least two to three times the national average. Your continued home care and preventive visits are most important to ensure the lasting success of our treatments. Please read the following instructions and keep them for your further use.

After Anesthesia Avoid:

  • Chewing and eating solid foods until numbness is gone to prevent self injury.
  • Scratching or rubbing numb areas to prevent soreness later.
  • Eating hot foods to prevent burning numb tissue.

  • After Temporaries:

  • Do not bite on hard foods for 24 hours.
  • Do not chew hard or sticky foods (such as caramels, chewing gum, etc.) at all.
  • Salt water rinses promote proper healing of tissues. Rinses should be used several times a day. They can be made at home using a concentration of 1/2 teaspoon of salt per 8 ounces of warm water.
  • Floss and brush as usual with one exception: pull floss through sideways to remove it rather than pulling it back up through the contact area.
  • Temperature sensitivity is normal after any procedure on teeth. This should subside but varies greatly with each tooth treated.
  • Vaseline or toothpaste may be used to paste temporary crown on if it comes off, and call our office.

  • After Crown and/or Bridge Work:

  • Do not chew on teeth that have been treated for 24 hours.
  • Temperature sensitivity is normal after any procedure on teeth. This should subside but varies greatly with each tooth treated.
  • Soreness may be present for several days from anesthetics and dental procedures. Take anti-inflammatories as needed i.e. Aspirin, Ibuprofen or Tylenol.
  • Biting pressure may be present until healing occurs. This should subside and not increase over time.
  • Floss and brush as usual. Clean teeth heal faster! If your teeth are sore, don’t avoid cleaning them–just clean them more gently.

  • If you have any questions or concerns about your visit, please feel free to call our office at (402)205-3415.

    Wisdom Tooth Extraction


    Post op instructions After Wisdom Tooth Removal

    The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully.

    Immediately Following Surgery

  • The gauze pad placed over the surgical area should be kept in place for a half hour. After this time, the gauze pad should be removed and discarded.
  • Vigorous mouth rinsing or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
  • Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.
  • Restrict your activities the day of surgery and resume normal activity when you feel comfortable.
  • Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for explanation.

  • Bleeding

    A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. To minimize further bleeding, do not become excited, sit upright, and avoid exercise. If bleeding does not subside, call for further instructions.

    Swelling

    The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

    Pain

    For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every three to four hours or Ibuprofen; (Motrin or Advil) two-four 200 mg tablets may be taken every 3-4 hours.

    For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.

    Diet

    After general anesthetic or I.V. sedation, liquids should be initially taken. Do not use straws. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away form the surgical sites. High calorie, high protein intake is very important. Refer to the section on suggested diet instructions at the end of the brochure. Nourishment should be taken regularly. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss a single meal. You will feel better, have more strength, less discomfort and heal faster if you continue to eat. Caution: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit for one minute before standing.

    Keep the mouth clean

    No rinsing of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing at least 5-6 times a day especially after eating with a cup of warm water mixed with a teaspoon of salt.

    Discoloration

    In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

    Antibiotics

    If you have been placed on antibiotics, take the tablets or liquid as directed. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office if you have any questions.

    Nausea and Vomiting

    In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour including the prescribed medicine. You should then sip on coke, tea or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine.

    Other Complications

  • If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As stated before surgery, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. So be careful. Call Dr. Levi if you have any questions, or if numbness of the lip, chin, or tongue area persists past 24 hours after surgery.
  • Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or ibuprofen should be taken to reduce the fever.
  • You should be careful going from the lying down position to standing. You were not able to eat or drink prior to surgery. It was also difficult to take fluids. Taking pain medications can make you dizzy. You could get light headed when you stand up suddenly. Before standing up, you should sit for one minute then get up.
  • Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots; they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, they can be removed by Dr. Levi.
  • If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as vaseline.
  • Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days.
  • Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.
  • Finally

    Sutures are placed the area of surgery to minimize post-operative bleeding and to help healing. Sometimes they become dislodged; this is no cause for alarm. Just remove the suture form your mouth and discard it. The sutures will be removed approximately one week after surgery. The removal of sutures requires no anesthesia or needles. It takes only a minute or so, and there is no discomfort associated with this procedure. So it’s really nothing to worry about.

    The pain and swelling should subside more and more each day following surgery. If your post-operative pain or swelling worsens or unusual symptoms occur call my office for instructions.

    There will be a cavity where the tooth was removed. The cavity will gradually over the next month fill in with the new tissue. In the mean time, the area should be kept clean especially after meals with salt water rinses or a toothbrush.

    Your case is individual, no two mouths are alike. Do not accept well intended advice from friends. Discuss your problem with the persons best able to effectively help you: Dr. Levi or your oral surgeon.

    Brushing your teeth is okay - just be gentle at the surgical sites.

    A dry socket is when the blood clot gets dislodged prematurely from the tooth socket. Symptoms of pain at the surgical site and even pain to the ear may occur 2-3 days following surgery. Call the office if this occurs.

    If you are involved in regular exercise, be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

    Fillings


    Home Care Following White Fillings

    We make every effort to ensure that you have comfortable office visits. The medication, materials and methods we use are of the highest quality and utilize the most advanced technology. The restorations we place will last at least two to three times the national average. Your continued home care and preventive visits are most important to ensure the lasting success of our treatments. Please read the following instructions and keep them for your further use.

    After Anesthesia Avoid:

  • Chewing and eating solid foods until numbness is gone to prevent self injury.
  • Scratching or rubbing numb areas to prevent soreness later.
  • Eating hot foods to prevent burning numb tissue.

  • After White Fillings

  • You may chew on treated teeth after anesthetic has worn off.

  • Expectations

  • Temperature sensitivity is normal after any procedure on teeth. This should subside but varies greatly with each tooth treated. Special medications are placed under fillings to minimize temperature sensitivity, but sensitivity may last until the tooth heals.
  • Soreness may be present for several days from anesthetics and dental procedures. Take anti-inflammatories as needed i.e. aspirin, tylenol, ibuprofen.
  • Salt water rinses promote proper healing of tissues. Rinses should be used several times a day. They can be made at home using concentrations of 1/2 teaspoon of salt per 8 ounces of warm water.
  • Floss and brush as usual. Clean teeth heal faster! If your teeth are sore, don’t avoid cleaning them–just clean them more gently.

  • If you have any questions or concerns about your visit, please feel free to call our office at (402)205-3415.

    Deep Cleaning SRP


    What to Expect After a Thorough Tooth Cleaning – (Deep Cleaning or SRP)

    Initially there will be some discomfort in the gums. The gums may be swollen and tender. Warm salt water rinses and the use of an analgesic, such as Tylenol or Ibuprofen, can help ease these symptoms. Take an anti-inflammatory medication that is safe for you.

    Patients frequently experience some sensitivity of the teeth to temperature. This is caused by exposing the teeth when removing the build-up of plaque and calculus or by the gums receding as they heal. This will usually resolve with time. A stannous fluoride rinse may help this sensitivity resolve more quickly.

    Some people with more severe gum disease experience noticeable recession of the gums and root exposure. This can occur when there is healing and shrinkage of the gums after treatment.

    We will continue to monitor the status of the gums and bone. If we don’t achieve adequate healing with the scaling, you may need to see a gum specialist (Periodontist) for further cleaning and treatment.

    Some things you can do for maximum healing are:

  • Brush and floss daily to remove plaque. Plaque causes gum inflammation.
  • Rubber tip the back teeth as directed.
  • Use fluorides as directed.
  • Have your teeth professionally cleaned at the recommended interval.

  • Gum disease is not something that is curable, but by following the recommended procedures, you improve your chances of keeping it under control.